Healthcare Provider Details

I. General information

NPI: 1780972034
Provider Name (Legal Business Name): PATRICIA D CRAWFORD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6845 ELM ST STE 710
MC LEAN VA
22101-3851
US

IV. Provider business mailing address

PO BOX 37189
BALTIMORE MD
21297-3189
US

V. Phone/Fax

Practice location:
  • Phone: 703-848-8500
  • Fax: 703-893-1946
Mailing address:
  • Phone: 571-423-5699
  • Fax: 571-423-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024169484
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: